Ukwelashwa kugxile ekuphatheni kwezimpawu nezinkinga
I-virus ye-Zika ingasabisa ngoba ngeke ube nomuzwa wokuthi usulelekile kuze kuvele izinkinga. Lokhu kungabandakanya ukukhulelwa kwesisu nokukhubazeka kokuzalwa. Ezimweni ezingavamile, ukutheleleka kwe-Zika kungaholela ku-Guillain-Barré syndrome, isifo esiwumjoqo esingabangela ukulahlekelwa yizimoto.
Ngeshwa, ayikho imithi noma imithi yokugoma noma ukuvimbela ukutheleleka.
Ngakho-ke, ukwelashwa kusekelwe kuphela ekuphathweni kwezimpawu nezinkinga.
Ukwelapha Izifo Ezilula
Emaphesenti angama-80 weZika ukutheleleka, ngeke kube khona izimpawu. Uma izimpawu zibonakala zivame ukuba mnene nokufana nokukhuhlane, kufaka phakathi ikhanda, ubuhlungu bomzimba nobuhlungu, umkhuhlane omncane, kanye ne-conjunctivitis , phakathi kwabanye.
Kubantu abaningi, amasosha omzimba azokwazi ukulawula nokusula ukutheleleka ngaphakathi kwesonto noma amabili. Phakathi naleso sikhathi, iTylenol (i-acetaminophen), ukuphumula kombhede, nokuningi koketshezi kungaba yilokho okudingayo ukukubona ngokugula.
Ngakolunye uhlangothi, kufanele ugweme izidakamizwa eziphikisana nezidakamizwa (anti-inflammatory drugs) (i-NSAID) njenge-aspirin, i-Aleve (naproxen), noma i-Advil (ibuprofen) kuze kufike umkhuhlane we-dengue , ukutheleleka kwesandulela ngculaza okuhlobene eduze neZika, kungaqedwa. Lezi zidakamizwa zingabangela ukuphuma kwegazi ezinzima.
Ngokufanayo, i-aspirin akufanele isetshenziselwe nezingane ezinesifo sengculaza njengoba lokhu kungaholela esimweni esingasongela ukuphila esibizwa ngokuthi i- Reyes syndrome .
Conjunctivitis Treatment
I-conjunctivitis ye-viral ngokuvamile ayiphathwa; amaconsi noma amafutha angeke enze okuncane, kunoma yini, ukusiza. Izinyembezi zokufakelwa kanye nendwangu ehlile ehlile ingasiza ekunciphiseni amanye ama-grittiness futhi angakhululekile.
Uma ugqoka amalensi oxhumana naye, ungase ufune ukushintshela ezibukweni uze ukwazi ukunikeza amehlo akho ukuphumula.
Kumele futhi ugweme ukugubha amehlo akho, njengoba lokhu kungadlulisa igciwane kusuka kwelinye iso kuya kwesilandelayo. Okufanayo kusebenza nokwabelana kwezilwane zeso, amathawula ezandla, noma amaconsi eso.
Ezimweni ezingavamile, i-conjunctivitis ehambisana ne-Zika ingaholela ku- uveitis (ukuvuvukala kwesendlalelo esiphakathi kweso). Lokhu kungathuthukiswa ngeklasi elifushane lama-eye amaconsi e-corticosteroid.
Ukwelapha i-Guillain-Barré Syndrome
I-Guillain-Barré syndrome (i-GBS) yinkinga engavamile yesimiso sezinzwa lapho amasosha omzimba ehlasela amangqamuzana ayo omzimba, okwenza ubuthakathaka obuthakathaka, ukulahleka kokulawulwa kwemisipha, futhi, ngezikhathi ezingavamile, ukukhubazeka.
I-GBS ehambisana ne-Zika iye yanqatshelwe amacala amancane kakhulu emazweni angu-13 (eBrazil, Colombia, iDominican Republic, El Salvador, French Guiana, French Polynesia, Haiti, Honduras, Martinique, Panama, Puerto Rico, ESuriname naseVenezuela).
Isizathu esiyinhloko se-GBS asiqondakali kahle kepha cishe ngaso sonke isikhathi sandulela ukutheleleka kohlobo oluthile. Ngaphandle kwegciwane leZika, ezinye izimbangela ezivamile ziyi- cytomegalovirus ne- Campylobacter jejuni.
Ukwelapha kungabandakanya ukusetshenziswa kwe- immunoglobulin (IVIg) evame ukusetshenziselwa ukwelapha izifo ezizimele kanye ne- plasmapheresis , uhlobo lwe-dialysis yegazi elikhipha amasosha omzimba omonakalo egazini.
Ukusekelwa ngokuphefumula nokuvuselelwa ngokomzimba kungadingeka.
Ukwelapha I-Zika Virus Syndrome Ye-Congenital
Uma umama ethinteka ngeZika ngesikhathi noma ngaphambi kokukhulelwa, akukho lutho olungenziwa ngempela ukuvimbela ukudlulisela igciwane kumntanakhe . Ngalokho kuthiwa, noma ngabe ukuhanjiswa kwenzeka, ingozi yokucindezeleka okunzima ingama-2.3% kuphela, ngokusho kocwaningo olwanyatheliswa kuyi-International Journal of Molecular Medicine.
Ngemuva kokuqothulwa kuka-2016, amacala angu-51 okukhubazeka okuzalwa nge-Zika-okubizwa ngokuthi yi-Zena virus e-congenital syndrome-ayebikwa e-United States, athi abaphenyi beCentral for Disease Control and Prevention.
Ngaphezu kwalokho, ukuhlukunyezwa okungu-77 kwakuhlobene ngokuqondile nezifo eziqinisekisiwe.
Ukuphathwa Kwezinkinga
I-Congenital Zika virus syndrome ibonakala ngezimpawu ezingashintsha ngenombolo kanye nobubanzi obukhulu kusukela ekunciphiseni kuya ekusongeni ukuphila. Oyinhloko phakathi kwabo kuyisifo esiyinhlekelele esingabangela ukuzalwa esibizwa ngokuthi i- microcephaly , lapho ingane izalwa khona nenhloko encane nobuchopho obungavamile.
Ezinye izinkinga zokubeletha zingabandakanya ukusabalalisa nokuqothulwa, ukulahlekelwa kwengqondo, ukulimala kweso lokubuyiselwa emuva, nokukhubazeka ngokomzimba njenge- clubfoot noma i- arthrogryposis (izinkontileka ezingenayo).
Ukwelapha, okunjalo, ngeke kugxile ekuthelelekeni kweZika kodwa kunalokho ngemuva kokutheleleka. Phakathi kokukhethwa kukho:
- Ukwelashwa kwe- microcephaly kusekela ngokuyinhloko. Ngenkathi ezinye izingane zingenayo izimpawu ngaphandle kwesayizi wekhanda elinciphile, abanye bangadinga ukunakekelwa konke okuqhubekayo kusukela eqenjini lezazi ezihlukahlukene, okubandakanya ama-neurologists, izifo zengqondo, izifo zomzimba, kanye nabahlengikazi bezinkulumo.
- Ukuphazamiseka nokuqothuka kungaphathwa ngemithi yokwelapha .
- Ukulimala okubuyiselwayo , kuhlanganise nokushaywa kwe-macular ne- atriphy ye-chorioretinal , kungadinga ukuhlinzwa ukuvimbela ukulahlekelwa kombono nokuphuphuthekisa.
- Ukukhubazeka ngokomzimba njenge-clubfoot noma i-arthrogryposis kungaphathwa nge-braces, ukwelashwa komsebenzi, izinqubo zokwelapha (njenge-stretal and streting serial ), kanye nokuhlinzwa njenge-Achilles tenotomy.
Ukuthuthukiswa komgomo
Njengoba kungekho mithi yokwelapha ukutheleleka kweZika noma ukuvimbela ukudluliselwa kusuka kumama kuya kwengane, ukugxila okukhulayo kuye kwabekwa ekuphuthumeni ucwaningo lokugoma.
Nakuba okwamanje akakho imishanguzo etholakalayo ukuvimbela iZika, ukuhlolwa kwesigaba se- Phase II kwavunyelwa ngo-March 2017 ukuhlola umuthi wokugoma ohlotshiswe ngokofuzo ngokusekelwe kuhlobo olufanayo olusetshenziselwa ukuthuthukisa igciwane lesandulela ngculazi eNtshonalanga . Uma imiphumela yokuqala ihamba kahle, isigaba esikhulu se-III singasungulwa ekuqaleni kuka-2020.
> Imithombo:
> Campos Coelho, A. kanye neCrovella, S. "Ukukhushulwa kwe-microcephaly ezinsana ezelwe yi-Zika Virus-Abathintekayo Abesifazane: Ukubuyekezwa Okuhlelekile Nokuhlaziywa Kwe-Meta-Analysis." Int J Mol Sci. 2017; 19 (8): 1714. I-DOI: 10.3390 / ijms18081714.
> Amasevisi Okulawula Nokuvimbela Izifo. "Umhlahlandlela Wezokwelapha Abahlinzeki Bempilo Yokuvimbela Ukudluliswa Ngokocansi Kwe-Virus Zika." E-Atlanta, eGeorgia; ibuyekezwe ngoDisemba 13, 2016.
> Mlakar, J .; I-Korva, M .; I-Tul. N. "I-Virus Zika Ehlanganiswe ne-Microcephaly." N Engl J Med. 2016; 374: 951-958. I-DOI: 10.1056 / NEJMoa1600651.
> Izikhungo Zikazwelonke Zempilo. "I-NIH iqala ukuhlola ukugonywa kweZika kubantu." IBethesda, eMaryne; ikhishwe ngo-Agasti 3, 2016.
> Reynolds, M .; UJones, A .; Petersen, E. et al. "Izimpawu ze-Vital: Buyekeza ku-Zika Virus-Associated Defects Defects and Assessment of Zonke Izinsana zase-US ezinezifo ezibangelwa i-Virus Zika e-Congenital - US Registry Pregnancy Registry, 2016." 2017; 66 (13): 366-373. I-DOI: 10.15585 / mmwr.mm6613e1.